Overview
Our categorical Child and Adolescent Psychiatry fellow trains alongside both integrated General Psychiatry–CAP residents and Triple Board residents. Although each pathway has its own structure, residents and fellows across all three programs train closely together, fostering collaboration and mentorship across different levels of experience. Depending on the rotation, trainees may work side-by-side with one or more trainees at the same level of training or may have the opportunity to work one-on-one with an attending, providing both a collaborative learning environment and individualized supervision. Our training environment is further enriched by our partnership with Louisiana State University (LSU), particularly on the consultation-liaison (C/L) rotation, where Tulane and LSU residents and fellows work alongside one another with faculty from both institutions.
Additionally, we dedicate one full day (every Friday) to academic activities. Fridays are protected academic time – weekly supervisions, grand rounds, and interdisciplinary didactics provide foundations for clinical learning in CAP. Didactics include case based learning of psychopharmacology and psychopathology, development, infant mental health, adolescence, neurobiology, cultural psychiatry, experiential evidence-based therapy training, specialized clinical modules, ethics, and forensic child and adolescent psychiatry, as well as a clinical issues course and intensive individual supervision that often includes video review of therapy. 2 weeks of vacation per 6 months (4 weeks per year) may be taken with faculty and training director approval at any time.
Clinical Experiences
- Tulane Center for Autism and Related Disorders (TCARD)
- Juvenile Justice Intervention Center (JJIC)
- 4 months Inpatient Psychiatry
- 3 months Consultation Liaison
- Weekly Psychotherapy Clinic
- 1 month Pediatric Neurology
- Elective Community Psychiatry at Metropolitan Human Resouces District (MHSD)
Didactic Experiences
- Grand Rounds
- Friday Didactics Series including case-based learning
- Individual & Group Supervision including specific evidence-based treatments
- Journal Club
The emphasis during the first year is on development and psychopathology throughout the life cycle. There is a focus on understanding illness and adaptation in the context of the family. This early orientation to thinking in terms of psychosocial growth and developmental psychopathology facilitates consolidation of the identity as a "child and family" oriented practitioner.
Clinical Experiences
12 months Outpatient Clinics
- Longitudinal psychotherapy experiences throughout the two years of training.
- Tulane Comprehensive Assessment and Treatment Team (TCATT)
- Tulane Infant Mental Health Services (TIMHS)
- Tulane Center for Autism and Related Disorders (TCARD)
- Gender & Sexuality at Ruth U. Fertel Tulane Community Health Center
- Early Psychosis Intervention Clinic (EPIC)
- Community Psychiatry at Metropolitan Human Resources District (MHSD) & Crescent Care FQHC
- School based mental health through Access Health FQHC
- Forensics and Juvenile Justice Intervention Center
Didactic Experiences
- Grand Rounds
- Friday Didactics Series including cased-based learning
- Individual & Group Supervision including specific evidence-based treatments
- Journal Club
The second year provides trainees the opportunity to consolidate their child and adolescent psychiatry skills as well as to prepare for their post-training professional life. Tulane CAP training focuses on outpatient, community-based treatment, with many opportunities to work with traditionally underserved patients from birth through adolescence. At this stage of training, the trainees are given opportunities for autonomy as well as substantial supervision time and on-site clinical supervision with a faculty member. We believe it is important for the fellows to be proficient in psychopharmacological treatment and to master a range of psychotherapy modalities with children and their families. The fellows have the opportunity to learn cutting-edge evidence-based therapies such as preschool cognitive behavioral therapy and parent management training, as well as therapies from a range of diverse theoretical frameworks. Trainees are also present at Grand Rounds with the supervision and mentoring from Dr. Charles Zeanah, Jr., Professor of Psychiatry & Pediatrics, Exec. Dir. Infant Institute, Medical Director of ECSS.